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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >FACTORS THAT INFLUENCE PATIENTS’ RECOMMENDATION OF ORTHOPAEDIC SURGEONS: AN ANALYSIS OF A POPULAR ONLINE RATING WEBSITE
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FACTORS THAT INFLUENCE PATIENTS’ RECOMMENDATION OF ORTHOPAEDIC SURGEONS: AN ANALYSIS OF A POPULAR ONLINE RATING WEBSITE

机译：影响骨科外科医生建议的因素：对流行的在线评级网站的分析

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Background: In the modern digital age, patients are increasingly consulting online physician reviews prior to making healthcare decisions. Physician review websites are being used in many medical fields including orthopaedic surgery. The purpose of this study is to investigate trends in online physician reviews and determine which factors are most strongly correlated with the likelihood that an orthopaedic surgeon is to be recommended by patients. Methods: Healthgrades.com, the most comprehensive physician rating and comparison database, was queried for “orthopaedic surgery” in the state of New Jersey. Demographic information, fellowship training status, years of experience, malpractice/disciplinary actions, physician ratings and the likelihood to recommend score (LTRS) was collected for all physicians. Quantitative analysis was conducted using descriptive statistics, student t-test, and one-way ANOVA. Qualitative analysis of randomly selected positive comments and all negative comments was conducted. Common themes were identified using frequency-based word cloud generator. Results: 834 board certified orthopaedic surgeons (800 Males, 34 Females), with a mean age of 55.7±12.5 years and an average LTRS of 4.1±0.84 were included for analysis. Compared with non-fellowship trained orthopaedic surgeons, fellowship trained surgeons were more likely to be recommend by patients [3.8 vs. 4.3; P& 0.0001]. Physicians with waiting time &10min were more likely to be recommended compared with their counterparts with waiting time &10min (P& 0.0001). No differences were observed in LTRS between male and female orthopaedic surgeons (P= 0.79) or based on malpractice status (P= 0.61). Qualitative analysis of a randomly selected sample of 4,151 out of a total of 12,168 positive comments and 1,113 total negative comments revealed that positive comments centered on surgeon competence and professionalism, while negative comments centered on surgeon personality and waiting time. Conclusion: Orthopaedic surgeons have generally favorable ratings and mostly positive comments. Fellowship status and waiting time are important factors that impact LTRS. Patients were more likely to write positive comments about surgeon competence and professionalism, and negative comments pertaining to surgeon personality and waiting time. Knowledge of surgeon specific attributes that are important to patients may help educate orthopaedic surgeons to improve patient care, patient satisfaction and online ratings.
机译：背景：在现代数字时代，患者越来越多地咨询在制定医疗保健决策之前的在线医师审查。医师审查网站正在许多医疗领域使用，包括整形外科手术。本研究的目的是调查在线医生评论的趋势，并确定哪些因素与患者建议建议的骨科外科医生的可能性最强烈相关。方法：HealthGRades.com，最全面的医师评级和比较数据库，在新泽西州的“骨科手术”中被询问。为所有医生收集了人口统计信息，奖学金培训状况，多年的经验，医疗学/纪律处分，医师评级和建议得分（LTR）的可能性。使用描述性统计，学生T检验和单向ANOVA进行定量分析。对随机选择的正面评论和所有负面评论进行了定性分析。使用基于频率的Word云发生器来识别共同主题。结果：834董事会认证骨科外科医生（800名男性，34名女性），平均年龄为55.7±12.5岁，分析包括4.1±0.84的平均LTR。与非团契训练的外科医生相比，患者培训的外科医生更有可能被患者推荐[3.8与4.3; P＆amp; LT; 0.0001]。与等待时间＆amp的医生; LT;与等待时间＆amp; 10min（p＆amp; 0.0001）相比，更有可能建议使用它们的对应物。在雄性和雌性骨科外科医生（P = 0.79）之间或基于疾病状态（P = 0.61），在LTR中没有观察到差异。对于一个随机选择的样本的定性分析，总共有12,168个正面评论和1,113个总否定评论显示，以外科医生能力和专业性为中心的积极评论，而在外科医生人格和等候时间以负面评价为中心。结论：矫形外科医生普遍有利的评级和主要评论。奖学金状态和等待时间是影响LTR的重要因素。患者更有可能写下关于外科医生能力和专业性的积极评论，以及与外科医生人格和等待时间相关的负面评论。对患者重要的外科医生特定属性的了解可能有助于教育整形外科医生，以改善患者护理，患者满意度和在线评级。

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